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MYRTLE BEACH SPINE CENTER, PA
NPI 1962764142
Physical Medicine & Rehabilitation - Neuromuscular Medicine in Myrtle Beach, SC

Active since June 13, 2012
100 LEGENDS RD SUITE A, MYRTLE BEACH, SC 29579(843) 236-9090(843) 236-9099 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Myrtle Beach Spine Center, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYRTLE BEACH SPINE CENTER, PA (NPI 1962764142) is a healthcare organization registered as a neuromuscular medicine in Myrtle Beach, South Carolina and active in the NPI registry since June 2012. The organization lists Michael P Gambacorta, Owner, as its authorized official.

NPPES Registry Identity

NPI1962764142
Entity TypeOrganization
Primary Taxonomy2081N0008X
Legal Business NameMYRTLE BEACH SPINE CENTER, PA
Location Address100 LEGENDS RD SUITE AMyrtle Beach, SC 29579-7076
Mailing Address100 Legends Rd Ste AMyrtle Beach, SC 29579-7076 · (919) 394-3225 · Fax (843) 236-9099
Phone(843) 236-9090
Fax(843) 236-9099
Organization SubpartNo
Authorized OfficialMichael P GambacortaOwner · (843) 236-9090
Enumeration DateJune 13, 2012
Last NPPES UpdateSeptember 5, 2024
NPPES CertifiedSeptember 5, 2024
✔ NPI 1962764142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Neuromuscular MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081N0008X
Definition
A physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist.
Also ListedChiropractorTaxonomy 111N00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
100 LEGENDS RD SUITE A, Myrtle Beach, SC 29579
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Myrtle Beach Spine Center, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Myrtle Beach Spine Center, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Gambacorta, FNP
Chiropractic
NPI 1851393920
100 LEGENDS RD STE A
Myrtle Beach, SC 29579
(843) 236-9090
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Myrtle Beach Spine Center, PA's NPI number?

The NPI number for Myrtle Beach Spine Center, PA is 1962764142. It was assigned to this organization in the NPPES registry on June 13, 2012.

Where is Myrtle Beach Spine Center, PA located?

Myrtle Beach Spine Center, PA is located at 100 Legends Rd Suite A, Myrtle Beach, SC 29579. The listed phone number is (843) 236-9090.

What is Myrtle Beach Spine Center, PA's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Neuromuscular Medicine, with taxonomy code 2081N0008X.

Is Myrtle Beach Spine Center, PA enrolled in Medicare?

Yes. Myrtle Beach Spine Center, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Myrtle Beach Spine Center, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Myrtle Beach Spine Center, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Myrtle Beach Spine Center, PA accept?

Health plans from Molina Healthcare list Myrtle Beach Spine Center, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Myrtle Beach Spine Center, PA was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.